Amenorrhea is the absence of a menstrual period in a woman of reproductive age. Physiological states of amenorrhoea are seen, most commonly, during pregnancy and lactation (breastfeeding), the latter also forming the basis of a form of contraception known as the lactational amenorrhoea method. Outside the reproductive years, there is an absence of menses during childhood and after menopause. Amenorrhoea is a symptom with many potential causes
Primary amenorrhoea is the absence of menstruation in a woman by the age of 16. As pubertal changes precede the first period, or menarche, female children by the age of 14 who still have not reached menarche, plus having no sign of secondary sexual characteristics, such as thelarche or pubarche—thus are without evidence of initiation of puberty—are also considered as having primary amenorrhoea.
Secondary amenorrhoea is where established menstruation has ceased—for three months in a woman with a history of regular cyclic bleeding, or nine months in a woman with a history of irregular periods. This usually happens to women aged 40–55. However, adolescent athletes are more likely to experience disturbances to the menstrual cycle than athletes of any other age.
Amenorrhoea may cause serious pain in the back near the pelvis and spine. This pain has no cure, but can be relieved by a short course of progesterone to trigger menstrual bleeding.
The main sign of amenorrhea is the absence of menstrual periods. Depending on the cause of amenorrhea, you might experience other signs or symptoms along with the absence of periods, such as:
Amenorrhea can occur for a variety of reasons. Some are normal during the course of a woman's life, while others may be a side effect of medication or a sign of a medical problem.
During the normal course of your life, may experience amenorrhea for natural reasons, such as:
Some women who take birth control pills may not have periods. Even after stopping oral contraceptives, it may take some time before regular ovulation and menstruation return. Contraceptives that are injected or implanted also may cause amenorrhea, as can some types of intrauterine devices.
Certain medications can cause menstrual periods to stop, including some types of:
Sometimes lifestyle factors contribute to amenorrhea, for instance:
Many types of medical problems can cause hormonal imbalance, including:
Problems with the sexual organs themselves also can cause amenorrhea. Examples include:
Ayurveda Treatments mainly divided into two segments.
Both these types of chikitsa work on vitiated dosha, dhatus and established physiology of sharir. Here ‘Nashtaratav’ has vitiation of vata, kapha pitta doshas and can consider kshaya of rasa and rakta dhatu. Vitiation of dosha & dhatu is also depends upon agnimandya. All the above points do have an effect on Chikitsa of ‘Nashtartav.’ Acharya Charak described all gynecological disorder in chikitsas than in the form of ‘Yonivyapad’.
Lifestyle changes and Yoga therapies: - Fish, kulattha, sour substances (kanji) til, mash, cow urine, butter milk mixed with half water, curd and shukt should be used in diet & drinks
Yogic management of amenorrhea are very important for women experiencing amenorrhea. Most importantly this includes rest and minimizes the amount of things or stresses that are apart of their everyday lives.
Primary amenorrhea caused by anatomic abnormalities cannot be prevented. You can prevent some forms of secondary amenorrhea. Take the following steps: